Some people that suffers from clinical depression experience feelings of tiredness and feel the need to sleep much more than usual.

a. How and why is feeling of tiredness and lethargy connected to depression?
b. Is it better to fight off the feeling of tiredness and sleepiness or to go along with it (eg. to sleep much more than usual) ?

a. Feeling of tiredness and lethargy are often connected to depression due to several factors. One key factor is the impact of depression on the brain chemicals called neurotransmitters, specifically serotonin and norepinephrine. These chemicals regulate mood, energy levels, and sleep patterns. In depression, there is typically a decrease in the levels of these neurotransmitters, leading to a disruption in normal sleep-wake cycles. This disruption can result in excessive sleepiness and fatigue.

Additionally, depression often causes other physical and emotional changes that contribute to tiredness. People with depression may experience a lack of motivation, decreased interest in activities, and feelings of hopelessness or sadness, all of which can contribute to a general sense of fatigue. Depression can also lead to changes in appetite, weight changes, and physical discomfort, which can further contribute to feelings of tiredness.

b. The approach to addressing feelings of tiredness and sleepiness in depression can vary depending on the individual and the severity of their symptoms. In some cases, excessive sleepiness may be a sign that a person is not getting sufficient restorative sleep, and addressing sleep disturbances through improving sleep hygiene or seeking professional help from a sleep specialist may be beneficial.

On the other hand, for some individuals, sleeping excessively or giving in to the feeling of tiredness can exacerbate depressive symptoms. Oversleeping can disrupt the natural sleep-wake cycle, leading to a vicious cycle of increased fatigue and worsening mood. Additionally, it can interfere with daily responsibilities and social interactions, leading to further isolation and feelings of guilt.

Finding a balance is often the key. It can be helpful to establish a consistent sleep schedule, ensuring an adequate amount of sleep while avoiding excessive daytime napping. Engaging in regular physical exercise, maintaining a healthy diet, and seeking therapy or medication for depression can also be effective in managing both the tiredness and other depressive symptoms.

It is important to consult with a healthcare professional who specializes in mental health to determine the best approach for managing fatigue and depression in an individualized manner.